RICHARD W WELLMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

WELLMAN

Suffix

Business Name

RICHARD W WELLMAN MD

Original Issue Date

08/22/1995

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023